Individual
DR. TIMOTHY PETER BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6002 N PORT WASHINGTON RD, GLENDALE, WI 53217-4524
(414) 439-3000
Mailing address
N4W22370 BLUEMOUND RD, WAUKESHA, WI 53186-1683
(414) 439-3000
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
01070075A
IN
208200000X
Plastic Surgery Physician
125.068486
IL
208200000X
Plastic Surgery Physician
Primary
80034-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2010
Last updated
09/01/2022
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